Individual
KIMBERLY P CHAMPAGNE-VIGEANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MOUND CT, MERRIMACK, NH 03054-4488
(603) 424-8866
(603) 424-8868
Mailing address
1 MOUND CT, MERRIMACK, NH 03054-4488
(603) 424-8866
(603) 424-8868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
076827-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3118198
—
NH
Enumeration date
03/25/2019
Last updated
11/10/2020
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